How big is the thyroid nodule that needs surgery? There is no need to operate on all diseases.

How big is the 1 thyroid nodule that needs surgery? Generally speaking, if it is a single solid nodule, regardless of whether there is capsule or calcification or abnormal blood flow, if the size of thyroid nodule exceeds 1cm, surgery can be considered.

If the nodule is a cyst, you can relax it to about 3cm before considering the operation, because the nodule will continue to grow, which may increase the difficulty of the operation and increase the chance of injury.

For multiple nodules, the surgical indications can be moderately relaxed. Generally speaking, the largest solid nodule is larger than 1-2cm before surgical treatment is considered.

2 Do thyroid nodules have to undergo surgery? Surgical treatment is not necessary for thyroid nodules, because surgical treatment will bring more sequelae to patients. Therefore, conservative treatment is generally recommended when it is not necessary, but surgical treatment should be considered or even necessary under the following surgical guidelines.

What kind of thyroid nodule should be treated surgically? If patients with thyroid nodules have difficulty holding their breath or swallowing, they need surgery as soon as possible.

2.？ If any nodule has calcification or abnormal blood flow, surgery is also needed.

3.？ If the thyroid nodule does not become smaller during drug treatment, but the primary selection is increased or changed, the patient should stop taking drugs for surgical treatment.

4.？ If you have hyperthyroidism and have nodular effusion after professional treatment, you need surgery.

5.？ Giant nodular goiter or substernal goiter should be treated surgically.

6.？ For those who have had thyroid surgery before and have relapsed now, you can refer to the above indications for reoperation or not, but the size can be relaxed and drug treatment can be controlled first. If not, consider surgery.

7.？ As long as the head and neck have a previous history of radiotherapy, a family history of medullary thyroid cancer or multiple endocrine tumors type II, a 70-year-old male with nodules that grow rapidly or suddenly in a short time, hard nodules with unclear edges, irregular nodules and symptoms such as hoarseness, cough, dysphagia and dyspnea should be operated as soon as possible.

Pay attention to the surgical treatment of thyroid nodules will bring some pain and influence to patients, and may also leave the following sequelae.

Postoperative sequelae of thyroid nodules 1. Nodules that are too small are difficult to find and remove with naked eyes, and the probability of recurrence after operation is high.

2.？ Thyroid tissue is rich in blood vessels and nerves, and the operation risk is high. After operation, it will leave 8- 10cm scar, so doctors do not advocate operation.

3.？ If the thyroid gland is removed too much, it will lead to lifelong hypothyroidism, and you need to take medicine for life after the operation.

4.？ The numbness of hands and feet is easy to occur after thyroid nodule surgery, mainly because some blood vessels and nerves must be cut off during thyroid nodule surgery, which leads to numbness of hands and feet.

5.？ The incision of thyroid nodule surgery will cause wound edema and sclerosis, especially in some middle-aged and elderly women, because of loose skin and more adipose tissue, resulting in wound edema.

6.？ It is difficult to speak after thyroid nodule surgery, mainly because the edema of recurrent laryngeal nerve affects the blood supply during operation to avoid recurrent laryngeal nerve, which leads to difficulty in speaking.

7.？ After thyroid nodule surgery, there will be swallowing sensation and even cough, which is mainly the reaction of normal scar contraction after thyroid nodule surgery.